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BERNARD GUY ETTINGER RPH NPI 1003097148


NPI Information

NPI: 1003097148
Provider Name: BERNARD GUY ETTINGER, RPH
Classification: Pharmacist - 183500000X
Entity Type: Individual
Address:
756 UPPER GLEN ST
QUEENSBURY, NY
ZIP 12804
Phone: (518) 793-3132
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Bernard Guy Ettinger, RPH is a pharmacist in Queensbury, NY. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. Bernard Guy Ettinger, RPH NPI is 1003097148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

756 UPPER GLEN ST
QUEENSBURY, NY
ZIP 12804-029
Phone: (518) 793-3132

The enumeration date for this NPI number is 11/16/2007 and was last updated on 11/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist028068NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100361371MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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